Fees paid for Camp are non-refundable and are not pro-rated based on the number of days a Scout attends Day Camp. Fees will not be refunded due to cancellation of camp for weather, or other unavoidable circumstances. Registrations received after Friday, May 01, 2015 are not guaranteed a T-shirt or program supplies.

The age group selected does not match the date of birth.
Please select the age group that your son will be at the start of the next school year.
Per BSA policy, age groups are determined by date of birth NOT by school grade. Eastern Skies district uses the MISD cutoff date of September 1st for age group determination.
Contact one of the camp directors for more information, or to request an exception to this policy.

A youth of the age group selected MUST have a parent in camp.
Please fill in the registration number of that parent.
This means the parent must register first, then the youth.

Tot*

Tiger**

Wolf

Bear

Webelos 1

Webelos 2

TFC

Youth Staff

Adult Staff

Tiger Cub Partner

*Tots must have a parent working on staff all week.**Tigers MUST be accompanied by an adult all week.

Tiger Cub Partner Registration ID:

Registrant Information

Please fill in the "First Name" field
Please fill in the "Middle Name" field
Please fill in the "Last Name" field
Please fill in the "DOB" field
Please fill in the "City" field
Please select a "Unit Type"
Please fill in the "Unit Number" field
Please select a gender
Please fill in the "Address" field
Please fill in the "ZIP" field
Please fill in either the "Home Phone" or the "Cell Phone" field
Please select a school from the list

First Name:
Middle Name:
Last Name:

DOB:
Unit Type: Unit #:

Address:
City:
State:
Zip:

Home Phone:
Work Phone:
Cell Phone:

Email Address:
Gender:
School:

Note Special Medical Needs:

Parent Contact Information

Please fill in the "First Name" field
Please fill in the "Last Name" field
Please fill in the "Address" field
Please fill in the "City" field
Please fill in the "Zip" field
Please fill in the "Home Phone" field

First Name:
Last Name:

Address:
City:
State:
Zip:

Home Phone:
Work Phone:
Cell Phone:

Email Address:

Authorized Transport (if different from Parent above)

Name of person authorized to transport child to/from camp:

Home Phone:Work Phone:
Cell Phone:

Email Address:
Driver's License Number:

Is there anyone your child cannot be released to?
No
Yes
, if so, who?

Adults

Please fill in the "Expiration Date" field
Please fill in the "Driver's License Number" field

BSA Registered?
Will you hava a Tot in Camp?
Are you a Tiger Adult Parent?
Adult CPR Trained?
Expr Date: Days Adult is working in Camp: M
T
W
Th
F

Criminal background check information

Driver's License Number:

Staff Position

Desired Adult Staff Postion:

Number of years you have staffed camp:

Desired Youth Staff Postion:

Number of years you have staffed camp:

Member of the Order of the Arrow?

T-Shirt Order (One included with Camp Fees, additional shirts are $10 each

Included shirt size:

Additional Shirt @ $25

Age Group:

Size:

Additional Shirt @ $25

Age Group:

Size:

Additional Shirt @ $25

Age Group:

Size:

The various age groups have different colored shirts which are determined shortly before camp. Sorry, we can't offer custom colors.

Not all shirt sizes are available for every age group selection.

Camp Fees

Camper Fee

$85

T-Shirt (1 included)

$0

Additional T-Shirts

Total

Make checks payable to:Circle 10

You must enter the correct security code for the image below.
This security measure helps ensure it is a human who is submitting a Twilight Camp registration.

PHOTO RELEASE. I hereby assign and grant to the local council and the Boy Scouts of America the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me or my child by the Boy Scouts of America, and I hereby release the Boy Scouts of America from any and all liability from such use and publication.

I hereby acknowledge that if my Scout wanders outside of the camp boundaries without a leader present, he/she will be sent home for the remainder of the 2014 camp without a refund.
I hereby acknowledge that by clicking the "Submit" button below, that it IS NOT A PAID invoice.

Complete the form, press the submit button, print out the completed form, sign it and deliver it, along with payment to the camp directors.